In Rose and Camellia, the player steps into the high heels of an aristocrat, working her way up the social ladder and earning respect among her peers. This is achieved by engaging them in an age-old tradition of slapping each other in the cheeks until one succumbs to her opponent.

The roses shown at the bottom of the screen indicates each combatant's strength. To attack, simply move the mouse from the bottom right of the screen to the upper left. The slap will be successfully executed if the line drawn crosses her cheek. Click on the evasion button to avoid your opponent's attacks, then launch your own counter attack quickly with a similar move. Move the cursor from the bottom left of the screen to the bottom right to sidestep a slap.

The gauge at the top left of the screen indicates the current player's turn, while the number of roses shown at the top right represents the selected difficulty setting.